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Individual

KEVIN R BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3118 E 10TH ST, SUITE A, JEFFERSONVILLE, IN 47130-5904
(812) 282-6979
(812) 282-6998
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 272-5100
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01032568A
IN
207R00000X
Internal Medicine Physician
21559
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000050935
ANTHEM / NCMA
01
000023034A
HUMANA / NCMA
01
004281
SIHO / NCMA
05
100075530
IN
01
110138281
RAILROAD MEDICARE
IN
01
1193932
CHA / NCMA
01
2447473000
PASSPORT ADVANTAGE / NCMA
01
50006205
PASSPORT / NCMA
05
64215593
KY
01
7588644001
CIGNA / NCMA
Enumeration date
04/20/2006
Last updated
10/29/2014
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